Organization
JESSICADAVISCEO, LLC
Active
Organization
JESSICADAVISCEO, LLC
Active
Other names
Passionate Champion
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA ALEXANDRA DAVIS (ADMINISTRATOR)
(321) 208-0466
Entity
Organization
Contact information
Practice address
801 W STATE ROAD 436 STE 2039, ALTAMONTE SPRINGS, FL 32714-3053
(321) 280-0466
Mailing address
801 W STATE ROAD 436 STE 2039, ALTAMONTE SPRINGS, FL 32714-3053
(321) 280-0466
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952951733
N/A
FL
Enumeration date
09/13/2019
Last updated
09/09/2024
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